Pain Management: What is it?
In chronic pain, a single drug or procedure is rarely enough. We determine whether pain is mechanical, nerve-related or joint-related, then build a personal plan combining medication adjustments, physiotherapy referral and, where needed, interventional procedures.
Who it’s for
- Back and neck pain
- Joint pain
- Neuropathic pain
- Headache
- Cancer pain
- Persistent post-surgical pain
Before the procedure
Bring MRI or CT scans from the past year (disc and report).
Always tell us if you take them. Your doctor decides whether to pause them; do not stop on your own.
If sedation is planned, do not eat for the time you are told.
Come with someone who can take you home; do not drive.
Wear loose clothes that give easy access to the treatment area.
Tell us in advance about possible pregnancy, diabetes, allergies or a pacemaker.
How it’s done
- 1History
Onset, spread, daily pattern and previous treatments.
- 2Examination
Neurological and musculoskeletal exam, pain score recorded.
- 3Plan
Medication, exercise and interventional options prioritised.
- 4Follow-up
Score measured at each visit and the plan updated.
After the procedure
Medication review
We cut unnecessary drugs and set effective ones at the right dose.
Exercise programme
A daily-life programme is suggested together with physiotherapy.
Interventional step
A block, RF or nucleoplasty is planned if needed.
Regular follow-up
Pain score and daily function are re-assessed at every visit.
Risks and side effects
Like any medical procedure, this treatment has possible side effects. Most are mild and temporary; you receive detailed information and give written consent beforehand.
Effects of your medication on the stomach, kidneys and sleep are reviewed at every visit.
Interactions with drugs from other doctors are checked. Please bring your full medication list.
If a procedure is added to the plan, its risks are explained separately and your written consent is taken.
Questions
Will I only get medication?
No. Medication is one part of the plan. The goal is the best function with as little medication as possible.
Will surgery be suggested?
When surgery is needed, we refer you to neurosurgery or orthopaedics.
Information on this site is for general guidance and does not replace a medical examination.